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Organization
SOUTHERN NEONATAL NURSE PRACTITIONERS, LLC
Active
Organization
SOUTHERN NEONATAL NURSE PRACTITIONERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA GALLOWAY NURSE PRACTITIONER (VICE PRESIDENT/CRNP)
(205) 531-2755
Entity
Organization
Contact information
Practice address
995 9TH AVE SW, BESSEMER, AL 35022-4527
(205) 531-2755
(205) 565-7939
Mailing address
8524 HAYES RD, BESSEMER, AL 35022-7926
(205) 531-2755
(205) 565-7939
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
—
NULL
363LN0000X
Neonatal Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111EP1111X
—
AL
05
—
363L00000X
—
AL
Enumeration date
10/23/2018
Last updated
10/23/2018
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